The future of LHS+ lideres is bright. The previous chapters describe the multitude of academic medicine career opportunities available for emerging lideres. This chapter focuses on a synthesis of some important areas and skill development for lideres of tomorrow. Having a clear understanding of the role of accreditation and how accreditation can impact career advancement for faculty is key. There is a special focus on hospital and clinic leadership opportunities for lideres to consider. A keen awareness and skill development related to law, policy, and advocacy are more and more critical for lideres in academic medicine to master. Community engagement is very often the best mechanism to address local issues in partnership with local communities. Developing community engagement networks helps lideres learn from the community and enhance the bidirectional partnership between healers and patients. All these elements are set against the horizon of technological advancements and persistent need to improve the health outcomes of the LHS+ community.